Modernizing Diabetes Care Quality Measures

Association of Health-Related Social Needs With Quality and Utilization Outcomes in a Medicare Advantage Population With Diabetes

“…We found a high prevalence of HRSNs among beneficiaries with T2D and significant associations between individual HRSNs and measures of quality of care and health care utilization. While we were unable to determine the temporal association between development of HRSNs and T2D in this cross-sectional study, prior studies have shown that poor diet, inability to access and/or afford medical care, and lack of social support are associated with the development and management of T2D; managing and treating diabetes also may be associated with worse social adversity. For example, healthy diets are an important component of T2D management, and our findings showed that food insecurity, uniquely, was consistently associated with increased acute care utilization.…”

“…Due to the substantial consequences of T2D for the health care system, identifying ways to improve the health of patients with T2D is a high priority. Given the associations between social adversity and T2D, efforts to improve diabetes-related outcomes are increasingly focused on SDOHs . Much of the existing work at the intersection of health care and SDOHs relies on area-level SDOH measures because patient-level data are not consistently available.…”

“…1 This emphasis is based on research demonstrating the association of social factors with health outcomes and health inequities; cumulative social adversity is associated with poorer outcomes. 2,3 Prior research has established significant associations between health care utilization and social adversity in type 2 diabetes (T2D), [4][5][6] which affects more than 26% of people aged 65 years and older 7 and costs more than $200 billion each year in the US. 8 Due to the substantial consequences of T2D for the health care system, identifying ways to improve the health of patients with T2D is a high priority.…”

“…Given the associations between social adversity and T2D, efforts to improve diabetes-related outcomes are increasingly focused on SDOHs. 6 , 9 , 10 Much of the existing work at the intersection of health care and SDOHs relies on area-level SDOH measures because patient-level data are not consistently available. However, it is not clear that area-level measures are adequate; in a national community health center sample, Cottrell et al 11 found that area-level SDOH measures would miscategorize 52% of patients who self-reported social risk factors.…”

HEARTS como herramienta para integrar el manejo de la hipertensión y la diabetes en los entornos de atención primaria de salud

“…A nivel del sistema, el marco de monitoreo de la hipertensión de la OPS podría servir de plantilla para la diabetes, ya que proporciona indicadores de estructura y proceso relacionados con el desarrollo del programa, el apoyo a las partes interesadas, el financiamiento, la planificación operativa y otros objetivos ( 38 ). A nivel del centro de salud, los posibles indicadores de estructura y proceso incluyen la finalización de tareas clínicas importantes, como el tamizaje de retinopatía, el uso de clases preferidas de medicamentos hipoglucémicos, la frecuencia de las visitas de seguimiento o los procesos específicos al compartir tareas, como una consulta con un educador en diabetes ( 39 ). Los indicadores de resultados relacionados con la diabetes deberían alinearse con cuatro metas propuestas por la OMS en materia de diabetes a nivel de la población.…”